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Death becomes her!

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Ish Guna

on 22 September 2014

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Transcript of Death becomes her!

Soical construct of Death, Dying and its contemporary issues of Euthanasia and Organ Transplantation
by Michael, Emma, Ishan and Sarah

Presentation Outline
Theoretical Analysis
What does the media say about these topics?
Where nurses deal with death and dying
What does it mean to die a “good death”?
How Does Death and Dying affect Nurses?
In 2012, 147098 people died in Australia
Has anyone experienced the death of a patient?

The death of your first patient will never leave your mind

Introduction to the construct of death and its contemporary issues of Organ donation and Euthanasia, with an emphasis on socio-political influences

Theoretical Analysis
What is the public debate in the media?
Stakeholders and their interest
The main places of care the nursing profession deals with death and dying.
What does “good death” mean?
Sociopolitical influence of Organ Donation and Transplant
1)Hospital practices influences how this is operated.

2)What influences preservation and donation of organs.

How we can increase organ donation

Euthanasia carries the meaning of a “gentle death”. This term is generally used to describe voluntary death that is often medically assisted as a result of an incurable and painful disease.

Structural Functionalism
The functionalist analysis of health care has been primarily influenced by the work of Talcott Parsons (1951), who viewed the health of individuals as a necessary condition of a stable and ordered society.
Sick Role
The ‘sick role’ is a term used to describe the social expectations of how sick people are expected to act and of how they are meant to be treated.
Organ Donation
Australian Government's national reform programme which has two main aims:
Increase the capability and capacity within the health system to maximise donation rates
Raise community awareness and stakeholder engagement across Australia to promote organ and tissue donation
Palliative Care
South Australian Government’s Advance Care Directive DIY Kit

Stress in palliative care for nurses, the patients and family
Dying in a hospital
Major site of death in our society

Quarter of hospital beds taken by people in last year of life

Improved care for dying hospital patients

Care in the home
one-fifth of deaths occur in domestic home, 90% of care for these individuals would be in own home

psychological comfort and able to retain greater autonomy

changes to social structure and population more pressure on lay carers

What are your thoughts?
We may be a part of it one day
What about palliative care patients?

Positive Impacts Nurses Can Have
Keeping families informed of palliative care pathways

Reassuring families

Positioning patients in a comfortable manner

Making deceased patients look peaceful for their loved ones

Organ Donation
Around 1,500 people are on the waiting list for an organ transplant list at any one time
47% of Australians are unaware of their loved ones decision to donate
Nurses can help to support the family during this difficult decision
Remember to talk about your wishes of organ donation with your family!

Based on Jim Harvey's speech structures
How death, dying and organ transplantation can affect nurses and how nurses can have a positive impact on patients and their families.
Comparing the Australian practice internationally
1)Currently Illegal in Australia
2)what are the ethical issues?
85% of the nurses who weren't using any coping strategies had secondary traumatic stress disorder

32.8% of the nurses were suffering from burnout

60%of these were contemplating of leaving the profession
PTSD, Burnout, STDS & Compassion fatigue
Sudden death of a young person, death of a baby MVA victims

37.2% of nurses showed psychological distress

8.5% had PTSD
Adriaenssens, J, de Gucht, V and Maes, S 2012, ‘The impact of traumatic events on emergency room nurses: findings from a questionnaire survey’, International Journal of Nursing Studies, vol. 49, pp.1411-1422

Australian Bureau of Statistics 2012, Australian social trends: Health related actions: Palliative Care, 4102.0, Canberra, Australia.

Australian Bureau of Statistics 2013, 3302.2- Deaths, Australia, 2012, viewed 10th April 2014 http://www.abs.gov.au/ausstats/abs@.nsf/mf/3302.0

Donate Life 2014, Facts and statistics: Organ and tissue donation facts, viewed 17th April 2014, <http://www.donatelife.gov.au/discover/facts-and-statistics>

Donate Life 2014, Donation Facts and Statistics, viewed 17th April 2014 http://temp.donatelife.gov.au/media/docs/The_Authority/Accountability_and_Reporting/Donation_Facts_and_Statistics_-_January_2014.pdf

Epp, K 2012, ‘Burnout in Critical Care Nurses: A Literature Review’, Dynamics, vol. 23, no. 4, pp. 25-31

Growley-Matoka, M & Lock, M 2007, ‘Organ transplantation in a globalised world’, Mortality: promoting the interdisciplinary study of death and dying, vol. 11, no. 2, pp. 166-181.

Lavoie, S, Talbot, L and Mathieu, L 2010, ‘Post-traumatic stress disorder symptoms among emergency nurses: their perspective and a ‘tailor-made’ solution’, Journal of Advanced Nursing, vol. 67, no. 7, pp. 1514-1522 (Online Ovid)

NHMRC 1997, ‘Donating organs after death: ethical issues’, Ethical issues in organ donation, discussion paper no. 1, viewed 14th April 2014, <http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/e29.pdf. >

NHMRC 1997, ‘Ethical issues in donation of organs or tissues by living donors’, Ethical issues in organ donation, discussion paper no. 2, viewed 15th April 2014, <http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/e30.pdf.>

NHMRC 2007 ‘Organ and tissue donation by living donors’, Guidelines for ethical practice for health professionals, viewed 20th April 2014, <http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/e71.pdf>.

Poole, M 2009, chapter 16 ‘Ageing, health and the demographic revolution’, in J Germov (ed.), Second opinion: an introduction to health sociology, 4th edn, Oxford University Press, Melbourne, pp. 307-327.

Totaro. P 2001 'Doctors call for organ donation overhaul' The Age July 31 2001 <http//www.theage.com.au/news/ 20000731> accessed 15th April 2014.

Hospice care
Dying in an institutional care home
focused on inpatient centers of excellence in providing good pain free and aware death by attending to holistic care in homely environment

Stakeholders and their interests
Replaced long stay hospital wards for long term symptom management and nursing care

unable to care for self of by home carers

usually over the age of 65
Should we have voluntary euthanasia clinics?

Public debate of whether this should be legal or not in Australia?
Medical Professionals
Hospitals/ Healthcare Industry
Palliative care
How is palliative care approached in modern Australian society?
Medical Professionals
Positive Impacts
Future academic knowledge
Future education towards organ transplantation
Opportunity to participate within Evidence Based Practice

Negative Impacts
Financial burden for pain medication and costly treatments
Unlicensed overseas doctors
Long term side affects and drug interactions
Additional pressures on palliative care nurses

Hospitals/ Healthcare Industry
Positive Impacts
Retention of workforce
New innovative procedures

Negative Impacts
Financial costs
Additional pressures on the healthcare system - longer waits

Positive Impacts
Award winning hospitals that are known for great care and treatment

Negative Impacts
Financial costs
Pressure to promote organ donation throughout the country
1) Who has the final decision about organ donation?

a) patient
b) doctors
c) patient and their family

2) What percentage of nurses have reached a clinical level of PTSD?

a) 5.5%
b) 8.5%
c) 23%

3) What percentage of deaths occur in institutions?

a) 80%
b) 50%
c) 95%

4) Has Euthanasia ever been legal in Australia?

a) Yes
b) No
Full transcript